Preliminary analysis of the psychological status of the advanced cancer patients

刘明辉; 陈萌蕾; 顾筱莉; 张哲; 成文武

doi:10.3969/j.issn.1007-3969.2014.11.009

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Preliminary analysis of the psychological status of the advanced cancer patients

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- Preliminary analysis of the psychological status of the advanced cancer patients
- China Oncology Vol. 24, Issue 11, Pages: 852-856(2014)
- 作者机构：
  
  复旦大学附属肿瘤医院综合治疗科，复旦大学上海医学院肿瘤学系,上海,200032
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1007-3969.2014.11.009
  CLC：
- Published Online：05 May 2015，
  
  Published：05 May 2014
- 稿件说明：
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刘明辉,陈萌蕾,顾筱莉,张哲,成文武. 晚期恶性肿瘤患者心理状况初步分析[J]. 中国癌症杂志, 2014, 24(11): 852-856.

刘明辉, 陈萌蕾, 顾筱莉, et al. Preliminary analysis of the psychological status of the advanced cancer patients[J]. China Oncology, 2014, 24(11): 852-856.
刘明辉,陈萌蕾,顾筱莉,张哲,成文武. 晚期恶性肿瘤患者心理状况初步分析[J]. 中国癌症杂志, 2014, 24(11): 852-856. DOI： 10.3969/j.issn.1007-3969.2014.11.009.

刘明辉, 陈萌蕾, 顾筱莉, et al. Preliminary analysis of the psychological status of the advanced cancer patients[J]. China Oncology, 2014, 24(11): 852-856. DOI： 10.3969/j.issn.1007-3969.2014.11.009.

摘要

背景与目的：晚期肿瘤患者的生活质量、心理状况等正在受到广泛的关注和重视，本研究初步评估晚期恶性肿瘤患者的心理状况，并分析其影响因素。方法：对2011年9月—2013年3月于复旦大学附属肿瘤医院综合治疗科住院治疗的晚期肿瘤患者，在家属陪同及医师的指导下，分别完成焦虑自评量表(self-ratinganxiety scale，SAS)、抑郁自评量表(self-rating depression scale，SDS)、生活质量调查问卷(EORTCQLQ-C30)、社会支持评定量表、90项症状清单(symptom checklist 90，SCL-90)等调查量表，并对各量表的结果进行统计学分析。结果：共56例患者入组。所有患者中，18例有抑郁倾向，24例有焦虑倾向，16例焦虑合并抑郁。分析显示，有心理障碍组，除认知功能外，躯体、角色、情绪、社会功能评分明显较无心理障碍组低，而SCL-90评分及疲倦、疼痛、呼吸困难、失眠、食欲丧失、经济困难等方面，有心理障碍组评分较无心理障碍组明显升高。患者SAS、SDS评分与整体生活质量呈负相关，而与患者的症状评分呈正相关。结论：晚期恶性肿瘤患者中，存在心理障碍的患者比例较高，且心理障碍会严重影响患者的生活质量。对于主诉症状较多或者自觉生活质量较差的患者，需要更多地关注其心理状况，必要时进行一定的干预，以缓解症状，提高生活质量。

Abstract

Background and purpose: The quality of life and psychological status of the advanced cancer patients has been widely valued. This study aimed to analyze the psychological status of the advanced cancer patients and its influence factors. Methods: The patients who were hospitalized in the palliative care department of Fudan University Cancer Center from Sep. 2011 to Mar. 2013 were included in this study. Self-rating anxiety scale(SAS)

selfrating depression scale (SDS)

EORTC QLQ-C30

social support revalued scale and symptom checklist 90 (SCL-90) were recorded and analyzed. Results: Fifty-six patients were included in this study

18 were depression and 24 were anxiety while 16 of them were depression together with anxiety. The patients were divided into 2 groups according to their psychological status. There’s no significant difference between the age and the social support between the two groups

while the mental disorders group have lower scores on body function

role function

emotional function and social function. The mental disorders were positive correlated with the symptoms score while negative correlated with the quality of life.Conclusion: There’s a high ratio of mental disorders in advanced cancer patients

the symptom scores and quality of life are related to mental disorders. We should pay more attention to the patients who were suffered more from the illness or had lower QOL scores.

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